Medical Practice Manager

JCHCC DBA Inclusivcare•Avondale, LA

1d•Onsite

About The Position

The Medical Practice Manager serves as a crucial link between patients and medical services they need, ensuring timely and effective access to care to avoid and mitigate crises. The Medical Practice Manager is responsible for managing patient referrals, ensuring timely and accurate documentation for billing, collections and coordinating with healthcare providers, insurance companies, and patients to facilitate seamless healthcare services. This role involves administrative tasks, communication, and ensuring compliance with healthcare regulations. Maintains all related records and communicate with all relevant stakeholders to ensure program updates, required information, and other sensitive participant or case related data are managed and/or disseminated in accordance with applicable policy, guidance, and directives. The Practice Manager will work closely with the senior management team to lead and oversee Medical and Behavioral Health support staff, patient scheduling and day-to-day operations of the health center to ensure that patient volume, practice site efficiencies, compliance and patient satisfaction objectives are met.

Requirements

Knowledgeable of modern office methods, procedures, and equipment and business writing skills; practices and terminology used in clinical, clerical, medical settings and electronic medical records.
Knowledgeable methods, practices, principles and terminology used in healthcare.
Plan and organize the coordination of the Medical and Behavioral Health Program.
Ability to manage and prioritize multiple projects.
Diligence in composing, typing, proofreading materials and meeting deadlines.
Knowledge of office administration procedures and clerical duties.
Ability to operate most standard office equipment.
Interpret clinical rules and regulations for patient, providers and others.
Understanding of the clinical operations and the revenue generation cycle process.
Proficiency in or knowledge of using a variety of computer software applications, especially Microsoft Word, Excell and Power Point and the ability to learn new EHR systems and technologies for business intelligence.
Excellent telephone and oral communication skills.
Excellent spelling, grammar and written communication skills.
Interact with the public, staff, administration, providers, and others in an efficient and diplomatic manner.
Critical degree of interpersonal skills to handle delicate and private circumstances and records.
Assures cultural and linguistic differences of patients and their families.
Ability to read, write, speak, and comprehend written documents fluently.
Must submit to a criminal background check and screening as part of pre-employment.

Nice To Haves

Master's level sciences in sciences from an accredited four-year college or university preferred.

Responsibilities

Supervise all PSS, PSS Lead, Call Center Representatives, BH Coordinator and BH Navigator.
Engage and motivate staff to perform their duties to the best of their abilities.
Assist the Chief of Operations and Director of Behavioral Health in the development and execution of services for optimal results.
Provides coordination and support for Medical and BH provider’s staff.
Serves as Single Point of Entry for Specialized Referral Sources.
Provide patients with information about available medical and behavioral health services and what to expect.
Oversees and supports coordination of referrals to appropriate health care providers, physicians, NP’s, psychiatrists, psychologist, therapists, and counselors including primary care and other specialties internally and externally.
Oversees coordination of patients visits aimed at optimal scheduling for access to care, quality for harm and risk reduction.
Assist patients with scheduling appointments and navigating the healthcare system.
Ensures coordination of the referral process from start to finish documentation and maintain accurate data on all referrals.
Monitor and evaluate referral processes for continuous improvement.
Work closely with primary care providers, social workers, and other healthcare professionals to ensure coordinated care for BH services.
Communicate effectively with both patients and providers to facilitate smooth referrals.
Maintain accurate and up-to-date records of all referrals and patient interactions.
Monitor the status of referrals and follow up with patients and providers to ensure appointments are kept and care is received. Maintain accurate up to date referral logs.
Address any barriers to accessing care, such as appointment access, transportation or financial issues amongst support staff.
Ensure the scheduling of the initial intake sessions under the direction and in consultation with the BH Director and Provider is assigned.
Monitor patient progress regarding attendance to minimize missed opportunities for optimal treatment.
Participate in weekly meetings with Chief of Operations and BH Director with updates and requested metrics. Meet weekly with support staff and Provider staff as needed.
Ensure open and closed referrals for the BH department are tracked and monitored. Report trends identified to BH Director and Chief of Operations.
Submit monthly reports to BH Director and Chief of Operations on monthly basis for programmatic progress and quality improvement.
Ensure and supports a robust revenue cycle to include accurate insurance information, insurance coverage and to support the completion of prior authorization as necessary.
Ensure that all fees are collected, safely stored and documented as per policy.
Assures the accuracy of fees assigned and payment are reported in accordance with federal and agency policies (Sliding fee Discount Program).
Ensure daily records of fee payments and reports to Finance Department are completed daily.
Collaborate with all departments for optimal results in the care of patients.
Ensure compliance with all policies and procedures; and ensure all medical services operate in accordance with HRSA, state, and federal regulations, and all regulatory authorities which include Joint Commission.
Follow, monitor, and ensure compliance with administrative policies and procedures.
Utilize electronic health record (EHR) systems for managing referrals.
Perform monthly quality assurance audits and review patient and registration data.
Ensure the proper safeguarding and maintenance of all patient records/charts.
Prepare all mandatory reports accurately and in a timely manner.
Execute customer service campaigns and find innovative ways to increase the number of patients completing patient satisfaction surveys.
Solicit, record, review, and implement suggestions for improving clinic flow procedures.
Establish appointment schedules and maintain smooth patient flow.
Ensure HIPAA compliance and patient confidentiality.
Stay informed about new developments in health services and to improve customer experience.
Provide education and resources to patients, families, and healthcare staff as needed assuring cultural and linguistic appropriateness.
Train and collaborate with billing team to understand the life cycle of a claim to serve as a resource to the PSS staff administration and providers.
Address Patient follow up to reduce/avoid No Shows.
Initiate PDSA as needed.
Work collaboratively with Medical and Behavioral Health Providers to develop and implement process improvements to reduce the occurrence of missing slips.
Scheduling optimization to ensure that all providers meet at least 50% or more of production goals daily.
Train/Re-train Medical and BH support staff as needed to ensure process improvement.
Perform Morning Huddle with staff to prepare for smooth and efficient daily operation.
Other duties as assigned.